<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Code')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-code" data-rule="required" class="form-control form-control" name="row[code]" type="text" value="{$row.code}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Product')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-product" data-rule="required" class="form-control form-control" name="row[product]" type="number" value="{$row.product}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Uid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-uid" class="form-control form-control" name="row[uid]" type="number" value="{$row.uid}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Kaoshi')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-kaoshi" data-rule="required" class="form-control form-control" name="row[kaoshi]" type="text" value="{$row.kaoshi}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Fahuo')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fahuo" data-rule="required" class="form-control form-control" name="row[fahuo]" type="text" value="{$row.fahuo}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Send')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-send" data-rule="required" class="form-control form-control" name="row[send]" type="text" value="{$row.send}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_register')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-is_register" class="form-control form-control" name="row[is_register]" type="number" value="{$row.is_register}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Kemu')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-kemu" class="form-control form-control" name="row[kemu]" type="text" value="{$row.kemu}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Banben')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-banben" class="form-control form-control" name="row[banben]" type="text" value="{$row.banben}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Dealer_uid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-dealer_uid" class="form-control form-control" name="row[dealer_uid]" type="number" value="{$row.dealer_uid}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_cancel')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-is_cancel" class="form-control form-control" name="row[is_cancel]" type="number" value="{$row.is_cancel}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sendtime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sendtime" class="form-control datetimepicker form-control" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[sendtime]" type="text" value="{$row.sendtime|datetime}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
